Syndemic Psychosocial Health Conditions Associated with Recent Client-Perpetrated Violence Against Female Entertainment and Sex Workers in Cambodia

Couture, Marie Claude; Evans, Jennifer L.; Moret, Jessica E. Draughon; Stein, Ellen; Sokunny, Muth; Phou, Maly; Len, Aynar; Song, Ngak; Sophal, Chhit; Neak, Yuthea; Maher, Lisa; Page, Kimberly

doi:10.1007/s10508-020-01705-y

Cited by 11 publications

(11 citation statements)

References 48 publications

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“…Emotional abuse is associated with several social, economic and health problems. 41 In line with this finding, in a qualitative study in Cambodia, FEWs shared their experience in excessive drinking to cope with the challenges in life and jobs. 5 Similarly, a Tanzanian study showed that FSWs who reported hazardous or harmful drinking were two times more likely to experience GBV than those who reported less hazardous or harmful drinking.…”

Section: Discussionmentioning

confidence: 68%

“…Emotional abuse is a type of GBV that has received less attention from researchers, policymakers and intervention programmes. Emotional abuse is associated with several social, economic and health problems 41. In line with this finding, in a qualitative study in Cambodia, FEWs shared their experience in excessive drinking to cope with the challenges in life and jobs 5.…”

Section: Discussionmentioning

confidence: 73%

See 1 more Smart Citation

Gender-based violence, psychological distress, sexual behaviours and binge drinking among female entertainment workers in Cambodia: a cross-sectional study

Chhoun²,

Tuot

et al. 2022

BMJ Open

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ObjectiveTo examine the relationship between gender-based violence, HIV risks, psychological distress and binge drinking among female entertainment workers (FEWs) in Cambodia.DesignCross-sectional study.SettingPhnom Penh and three other provinces in Cambodia.ParticipantsWe recruited 600 FEWs from entertainment venues using a stratified random sampling method. Participants were eligible if they were at least 18 years old, working in the selected entertainment venues and self-identified as a FEW.Primary outcome measureBinge drinking was defined as drinking more than five units of alcoholic drinks in 24 hours on at least one occasion in the past 3 months.ResultsThe prevalence of binge drinking was 76.7%. Adjusted odds of binge drinking were significantly higher among FEWs who earned >US$250 per month than those who earned ≤US$120 per month (adjusted OR (AOR) 2.96, 95% CI: 1.40 to 6.24), had been forced to drink more than once per month in the past 3 months than those who had never been forced to drink (AOR 5.66, 95% CI: 2.19 to 14.65), worked at karaoke bars than those working at a restaurants/café (AOR 1.85, 95% CI: 1.19 to 2.88) and experienced emotional abuse in the past 6 months than those who did not experience it (AOR 2.71, 95% CI: 1.22 to 6.02). The odds of binge drinking were significantly higher among FEWs with lower psychological distress than those with higher psychological distress (AOR 1.65, 95% CI: 1.09 to 2.49).ConclusionsThis study highlights a high prevalence of binge drinking among FEWs and its associations with working environments, conditions and contexts. Our findings suggest that individual-based behavioural intervention may not effectively reduce binge drinking among FEWs. Structural and occupational health policy interventions may be needed to change the working environment.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 73%

Gender-based violence, psychological distress, sexual behaviours and binge drinking among female entertainment workers in Cambodia: a cross-sectional study

Chhoun²,

Tuot

et al. 2022

BMJ Open

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“…For example, Couture et al, adopted the syndemic framework to evaluate the effects of comorbid psychosocial problems on the risk of physical and sexual violence on female entertainment and sex workers (FESW) in Cambodia. 29 They reported a high burden of client-perpetuated violence that was associated with housing insecurity, substance use, and psychological distress. FESW with two psychosocial conditions had twice the odds (adjusted odds ratio [AOR] = 2.08; 95% confidence interval [CI] 1.00-4.31), whereas women with 5-6 psychosocial conditions had eightfold higher odds (AOR = 8.10; 95% CI 3.4-19.31) of violence, highlighting a syndemic model of cooccurring psychosocial problems.…”

Section: Research Areas On Syndemicsmentioning

confidence: 99%

Global research on syndemics: a meta-knowledge analysis (2001-2020)

et al. 2022

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Background: Syndemics or synergies of cooccurring epidemics are widely studied across health and social sciences in recent years. Methods: We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. Results: We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, and most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and coronavirus disease 2019. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. Conclusions: The limited yet rapidly evolving literature on syndemics informs transdisciplinary interests to understand complex coexisting health challenges in the context of systematic exclusion and structural violence in vulnerable populations. The findings also suggest applications of syndemic theory to evaluate clinical and public health problems, examine the socioecological dynamics of factors influencing health and wellbeing, and use the insights to alleviate health inequities in the intersections of synergistic epidemics and persistent contextual challenges for population health.

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“…Several studies were identified that used these keywords, indicating their relevance to this research cluster. For example, Couture and colleagues adopted the syndemic framework to evaluate the effects of comorbid psychosocial problems on the risk of physical and sexual violence on female entertainment and sex workers (FESW) in Cambodia [32]. They reported a high burden of client-perpetuated violence that was associated with housing insecurity, substance use, and psychological distress.…”

Section: Research Areas On Syndemicsmentioning

confidence: 99%

Global research on syndemics: A meta-knowledge analysis (2001-2020)

Hossain

Saha

et al. 2021

Preprint

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Syndemics or synergies of cooccurring epidemics are widely studies across health and social sciences in recent years. We conducted a meta-knowledge analysis of articles published between 2001 to 2020 in this growing field of academic scholarship. We found a total of 830 articles authored by 3025 authors, mostly from high-income countries. Publications on syndemics are gradually increasing since 2003, with rapid development in 2013. Each article was cited more than 15 times on average, whereas most (n = 604) articles were original studies. Syndemics research focused on several areas, including HIV/AIDS, substance abuse, mental health, gender minority stressors, racism, violence, chronic physical and mental disorders, food insecurity, social determinants of health, and COVID-19. Moreover, biopsychosocial interactions between multiple health problems were studied across medical, anthropological, public health, and other disciplines of science. The limited yet rapidly evolving literature on syndemics informs transdisciplinary interests to understand complex coexisting health challenges in the context of systematic exclusion and structural violence in vulnerable populations. The findings also suggest applications of syndemic theory to evaluate clinical and public health problems, examine the socioecological dynamics of factors influencing health and wellbeing, and use the insights to alleviate health inequities in the intersections of synergistic epidemics and persistent contextual challenges for population health.

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Syndemic Psychosocial Health Conditions Associated with Recent Client-Perpetrated Violence Against Female Entertainment and Sex Workers in Cambodia

Cited by 11 publications

References 48 publications

Gender-based violence, psychological distress, sexual behaviours and binge drinking among female entertainment workers in Cambodia: a cross-sectional study

Gender-based violence, psychological distress, sexual behaviours and binge drinking among female entertainment workers in Cambodia: a cross-sectional study

Global research on syndemics: a meta-knowledge analysis (2001-2020)

Global research on syndemics: A meta-knowledge analysis (2001-2020)

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